Note-he has a thickened left vent wall asymmetrically thickened.
"Cooper's recurrent respiratory symptoms are due to a relapse of congestive heart failure. This rapid recurrence of heart failure is particularly concerning given the fact that Cooper has been receiving doses of cardiac medications that are typically very effective in initial management of the condition. This raises concerns that Cooper's heart disease is more aggressive than the average patient. A repeat echocardiogram was performed and the images were clearer because Cooper's heart rate was not as rapid as during his initial echocardiogram last week. The echocardiogram revealed numerous moderator bands in his left ventricle and mild weakening of cardiac muscle strength (contraction). The area that I was previously concerned may be a clot within the left ventricle is actually a network of moderator bands. These echocardiographic findings are more typical of moderator band cardiomyopathy rather than hypertrophic cardiomyopathy. Moderator band cardiomyopathy is a rare condition and there is little information regarding its natural history. There is no known cause of the condition. Cooper was hospitalized and was treated with oxygen therapy, lasix injections and oral medications (spironolacone, vetmedin, and plavix) to manage his heart disease and stabilize his heart failure. Repeat radiographs this morning revealed almost complete improvement of the congestion in his lungs. I expect his congestion to fully resolve after the last injection of lasix that he received today at noon. He has proven that he requires higher than typical doses of diuretic to manage his heart failure. This comes with a risk of dehydration and adverse effects on the kidneys. Considering he has such a rare cardiac condition that has already proven to be somewhat resistant to traditional pharmacologic therapy, I feel that Cooper is a prime candidate for consultation on alternative treatments